| NPI | 1780137505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 299621) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 016408) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2022-03-17 |